Provider Demographics
NPI:1396989067
Name:YANCEY, WILLIAM LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LAWRENCE
Last Name:YANCEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28803 DOBBIN HUFFSMITH RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6474
Mailing Address - Country:US
Mailing Address - Phone:870-219-6941
Mailing Address - Fax:
Practice Address - Street 1:9200 PINECROFT DR
Practice Address - Street 2:STE 330
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3279
Practice Address - Country:US
Practice Address - Phone:346-351-2948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2020-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6117207L00000X, 207LP2900X
TXBP1-0034754207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology